NPIMap

Organization Active NPI

William J Lewis MD PC

  • Otolaryngology Physician
  • Wynnewood, PA
National Provider Identifier
1366484743
Registry record updated Jun 11, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
MD013989E Issued in PA
Legal business name
WILLIAM J LEWIS MD PC
Practice address
100 E Lancaster Ave
Suite 33 Lankenau Medical Building West
Wynnewood, PA 19096-3450
Phone
(610) 896-6800
Fax
(610) 896-5627
NPI assigned
Jun 12, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mrs. Joanne M Boyle
Title
Manager
Phone
(610) 896-6800

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Y00000X MD013989E PA Primary

Addresses

Primary practice location

100 E Lancaster Ave
Suite 33 Lankenau Medical Building West
Wynnewood, PA 19096-3450

Mailing address

100 E Lancaster Ave
Suite 33 Lankenau Medical Building West
Wynnewood, PA 19096-3450
Phone (610) 896-6800

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040615001008 PA Part B Supplier - Clinic/Group Practice 4486638715 Receives reassigned benefits from 4 practitioners
Practice locations: Wynnewood, PA

National Provider Directory

National Provider Directory

Locations

650 Lankenau Medical Building E
Wynnewood, PA 19096
Phone (610) 896-6800

33 Lankenau Medical Bldg W
Wynnewood, PA 19096
Phone (610) 896-6800

100 E Lancaster Ave
Ste 33W
Wynnewood, PA 19096
Phone (610) 896-6800

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1150070400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213142400000",
    "number": "1366484743",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 E LANCASTER AVE",
            "address_2": "SUITE 33 LANKENAU MEDICAL BUILDING WEST",
            "city": "WYNNEWOOD",
            "state": "PA",
            "postal_code": "190963450",
            "telephone_number": "610-896-6800",
            "fax_number": "610-896-5627"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 E LANCASTER AVE",
            "address_2": "SUITE 33 LANKENAU MEDICAL BUILDING WEST",
            "city": "WYNNEWOOD",
            "state": "PA",
            "postal_code": "190963450",
            "telephone_number": "610-896-6800",
            "fax_number": "610-896-5627"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLIAM J LEWIS MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-12",
        "last_updated": "2008-06-11",
        "status": "A",
        "authorized_official_last_name": "BOYLE",
        "authorized_official_first_name": "JOANNE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "610-896-6800",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Otolaryngology",
            "state": "PA",
            "license": "MD013989E",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wynnewood, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.